基于主被动合作博弈的医患关系研究

针对我国医患关系日趋紧张,医患矛盾逐渐凸显这一问题,在对中国近五年医患事件进行分析的基础上,分别从信任程度、信息不对称程度、诊疗代价等多个视角出发,利用演化博弈理论和复制动态方程,构建了医患双方合作策略选择演化博弈模型,探究了影响医患关系演化的相关因素。研究表明:从长期来看,医患关系博弈系统存在两种演化路径:主动合作和被动合作;增大医患双方的信任程度,减小医患双方的信息不对称程度,降低医患双方合作成本,增大以政府为主导的仲裁机构对医患双方的奖励和惩罚都将会促使医患双方由被动合作转向主动合作。     

Enantioselective synthesis of hydroxy-substituted α-methyl-α-amino acids using Al and Mn derivatives of cyclo-(L-Ala-L-AIa) bis-Iactim ethers

Aluminum and manganese derivatives of lithiated bis-lactim ethers of cyclo-(L-Ala-L-Ala) were used for the enantioselective synthesis of -hydroxy and polyhydroxy -amino acids of the 2-methyIserine series. A new variant of the synthesis of these acids via 3-acyl-2, 5-dialkoxy-3, 6-dimethyl-3, 6-dihydropyrazines is proposed.Translated fromIzvestiya Akademii Nauk. Seriya Khimicheskaya, No. 3, pp. 590–595, March, 1993.     

Resistance to Surfactant and Protein Fouling Effects at Conducting Diamond Electrodes

Boron‐doped diamond thin‐film electrodes display negligible fouling effects in the presence of high levels of surface‐active materials, including proteins. Dramatic improvements in the stability of the analyte response (compared to common glassy carbon and carbon paste electrodes) are illustrated using bovine serum albumin (BSA), gelatin, and Triton X‐100 in connection with repetitive square‐wave voltammetric (SWV) measurements. The voltammetric response of ascorbic acid at the diamond electrode exhibits negligible shifts in peak potentials and minimal depressions of current signals over a wide range of surfactant concentrations (0–750 ppm). For example, the diamond electrode exhibited 70, 50 and 60 mV potential shifts for 10 repetitive voltammetric scans in the presence of 100 ppm BSA, gelatin and Triton X‐100, respectively, compared to 120, 190, and 280 mV shifts observed at the glassy carbon electrode. Furthermore, only 4.3 and 6.2% of the initial current decays were observed in the presence of 100 ppm Triton X‐100 and gelatin, respectively (compared to 45.2 and 34.4% diminutions at the glassy carbon electrode). Such improved performance was also confirmed from the SWV measurements of uric acid, dihydroxyphenylacetic acid, and catechol. The greatly improved resistance to surfactant interference reflects the fact that the as‐grown diamond thin film, composed of oxide‐free and hydrogen‐terminated surface, has a relatively lower surface energy and minimal electrostatic attributes, either specific or general, so that little adsorption of surface‐active agents occurs. The topographic AFM images of the diamond electrode surface confirm a negligible BSA fouling effect after repetitive SWV measurements. Such enhanced antifouling features make diamond electrodes very attractive for numerous real‐life electroanalytical applications.     

固体炭对一氧化氮低温催化解离还原反应的影响——Ⅱ.复合催化剂中铁在载体炭上化学形态的研究

用~(57)Fe穆斯堡尔谱研究了炭载型复合催化剂中铁化学形态随温度的变化,及各活性组分、助剂对铁化学形态的影响;并通过ESR谱考察了复合催化剂中不同活性组分对铁在载体炭表面电子特性的影响。研究结果表明,复合催化剂中各活性组分、助剂和载体炭与铁之间存在着强相互作用。在350～650℃,载体炭可将铁从Fe_2O_3还原到Fe_3O_4、FeO、α-Fe和生成炭化铁。活性组分Cu和助剂K可改变催化剂中铁周围的电子密度,促进铁在载体炭上从高价态向低价态还原。同时还发现催化剂中Na和Cr对铁有很强的助分散作用。     

对硝基氯苄与活性亚甲基化合物的反应

对硝基苄基衍生物可以与许多阴离子起单电子转移的亲核取代反应。Kornblum等以对硝基氯苄为底物,2-乙氧羰基香豆满-3-酮的钠盐为阴离子,作了深入的研究,得出对硝基氯苄与2-乙氧羰基香豆满-3-酮钠盐的C-烷化反应机理为自由基链式亲核取代反应。同时,Russell等提出对硝基氯苄与2-     

Synthetic analogs of active centers of iron-sulfur proteins: Reactions with phosphates

The interaction of synthetic analogs of active centers of iron-sulfur proteins with phosphates of different structures was studied. It was shown that the process involves ligand exchange and obeys the first-order reaction kinetic equation. The most rapid exchange occurred with the most acidic compound diphenyl phosphate.A. E. Arbuzov Institute of Organic and Physical Chemistry, Kazan' Scientific Center, Russian Academy of Sciences, 420083 Kazan'. Translated from Izvestiya Akademii Nauk, Seriya Khimicheskaya, No. 10, pp. 2301–2305, October, 1992.     

活性炭负载磷钨酸催化合成季戊四醇缩酮(醛)

季戊四醇双缩酮(醛)可作为杀虫剂[1]、塑料的抗氧化剂及表面活性剂的消泡剂等[2,3];其单缩酮(醛)是有机合成的重要中间体。其合成反应常用无机酸催化剂(如H2SO4、HCl、H3PO4等)[4],副反应多、腐蚀性强和易污染。近年来,采用脱铝超稳Y沸石和对甲苯磺酸等作催化剂[5-7],效果良好。本文以活性炭负载磷钨酸作催化剂合成了12种季戊四醇缩酮(醛),催化剂用量少、反应速率快、产率高,催化剂可回收使用。其结构经元素分析、IR及1HNMR等表征。1　实验部分1 1　仪器与试剂Kofler熔点仪,温度计未经校正;美国NICO LETAVATAR 360FT光谱仪…     

Chiroptical detection. Novel possibilities of its application to enantiomers

Summary Polarimetric and/or circular dichroic detection of enantiomers after liquid chromatography on optically active sorberts has been used for the following purposes: determination of enantiomeric purity in spite of peak overlap, investigation of enantiomerization during chromatography, monitoring of racemizations and recording of circular dichrograms without preparative enrichment of enantiomers. Novel examples for all applications are give. The general prospects for chiroptical detection are discussed.     

表皮生长因子受体酪氨酸激酶抑制剂的药效团研究

根据一系列表皮生长因子受体酪氨酸激酶抑制剂的三维定量构效关系研究，得 到了该类抑制剂的药效团，研究结果与Novartis的药效团模型相当类似．药效团包 括一个氢键受体，一个氢键给体，一个疏水区和一个带有氯或溴原子药效团对于研 究表皮生长因子受体酪氨酸激酶抑制剂结构与活性的关系具有重要的意义．通过三 维数据库搜索可能会得到新的先导化合物．